Your information

Name *

First

Last

Email *

Phone *

CHP Member *

Enter your entity's name

Percent of Contribution

Layout

What percent do you contribute to your employee's medical insurance? *

Do you offer dental insurance? *

• Yes
• No

What percent do you contribute to your employee's dependent medical insurance? *

What percent do you contribute to your employee's dental insurance cost? *

What percent do you contribute to your employee's dependent dental insurance cost? *

Layout

Do you offer vision insurance? *

• Yes
• No

What percent do you contribute to your employee's vision insurance cost? *

What percent do you contribute to your employee's dependent vision insurance cost? *

Layout

Do you offer dependent life insurance? *

• Yes
• No

Do you offer supplemental life insurance? *

• Yes
• No

What percent do you contribute to your employee's dependent life insurance cost? *

What percent do you contribute to your employee's supplemental life insurance cost? *

Part-time Eligibility and Miscellaneous

Layout

Do you offer medical benefits to part-time employees? *

• Yes
• No

Do you offer a Health Savings Account (HSA)? *

• Yes
• No

If you offer a Health Savings Account, how many employees are enrolled? *

Layout

Do you offer Short Term Disability Coverage? *

• Yes
• No

Do you offer Long Term Disability Coverage? *

• Yes
• No

Website Utilization

Layout (copy)

How often do you utilize the CTSI website? *

• Yes
• No

How often do you utilize the Anthem website to review claims? *

• Yes
• No

How often do you utilize the CHP Contact Manual? *

• Yes
• No

Education and Training

Layout

Would you prefer a paperless enrollment process? *

• Yes
• No

Would you be interested in a CHP Contact Seminar? *

• Yes
• No

Would you be interested in CHP webinars? *

• Yes
• No

What time of the year is best for you for a CHP Contact Seminar? *

Submit

CAPP 2022 Audit

Download

CHP 2022 Audit

Download

CWCP 2022 Audit

Download

CTSI 2023 Salary Survey

Download

Table of Contents of the download file

1. Instructions and Summary Group and Job Numbers with Descriptions (PDF document)
2. Benchmark Job Titles (Microsoft Excel spreadsheet)
3. 2022 Wage Data Input Sheet (Microsoft Excel spreadsheet)
4. 2022 Benefits Data Input Sheet (Microsoft Excel spreadsheet)

CAPP Audit 2021

Download

CHP Audit 2021

Download

CWCP Audit 2021

Download

CAPP Audit 12/31/20

Download

CWCP Audit 12/31/20

Download

CHP 

Audit 12/31/20

Download